ЗАТРАТЫ РАБОЧЕГО ВРЕМЕНИ ВРАЧА-АКУШЕРА-ГИНЕКОЛОГА В АМБУЛАТОРНЫХ УСЛОВИЯХ

Abstract

Significance. The study of the costs of an obstetrician-gynecologist’s working time on an outpatient basis is a very urgent task, since it is the first stage in determining the standards for the number of these doctors, which needs to be revised based on the modern conditions for the provision of medical care. Purpose: to determine the costs of working time of an obstetrician-gynecologist on an outpatient basis, both for different types of admission of one patient and individual labor operations. Materials and methods: Materials: data of photo-timing observations, primary medical documentation (forms №№025/у «Medical record of a patient receiving medical care on an outpatient basis» and №111/у-20 «Individual medical record of a pregnant and postpartum woman»). Methods: photo-timing measurements, statistical, analytical, expert assessments, mathematical statistics, descriptive. Results. The time norms for one patient's appointment at the first level of outpatient medical care in modern conditions are: for medical and diagnostic purposes, primary - 17.88 minutes, repeated - 10.68 minutes; for prophylactic purposes, primary - 10.68 minutes, repeated - 1.5 minutes; for pregnancy women, primary - 22.89 minutes, repeated - 12.98 minutes. The average duration of admission of one patient by an obstetrician-gynecologist is 15.02 minutes. The time spent on performing the main activity amounted to 56.9%, while the implementation of the necessary additional activities takes 43.1% of the total time of the patient's appointment, of which 39.5% is represented by work with documentation. Conclusions. The duration of one patient's admission to an obstetrician-gynecologist at the first level of outpatient care is 15.02 minutes. A significant part of the time of admission of the studied specialist is spent on performing additional types of activities, where work with documentation prevails in the structure of the latter. The norms of time, workload and standards for the number of doctors should be periodically revised in order to correspond to the modern conditions of medical care. Application area of the results. The results of the study can be used in practical health care by the management team for making managerial decisions in the field of staff rationing. The proposed technique can be used to clarify the staffing standards of any other medical specialty.